Treatment following extraction of teeth with periodontal–endodontic lesions: intact buccal bony wall

  • Carlos E. NemcovskyEmail author
  • Massimo del Fabbro
  • Ilan Beitlitum
  • Silvio Taschieri
Part of the following topical collections:
  1. Periodontics


The decision to extract or maintain compromised teeth with periodontal–endodontic lesions is complex while taking into consideration the endodontic, periodontal, and reconstructive aspects of these teeth. Extraction of teeth with untreatable periodontal–endodontic lesions having severe alveolar bone damage can lead to difficulty in their surgical management. Several treatment approaches are available following the extraction of compromised teeth with an intact facial wall of the alveolar socket.


Periodontal–endodontic lesions Immediate implants Ridge preservation Bone graft Connective tissue graft Early implant placement 


Further reading

  1. 1.
    Tsesis I et al (eds) Endodontic-periodontal lesions, treatment alternatives following extraction of teeth with periodontal-endodontic lesions. CrossRefGoogle Scholar
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    Corbella S, Taschieri S, Samaranayake L, Tsesis I, Nemcovsky C, Del Fabbro M (2014) Implant treatment choice after extraction of a vertically fractured tooth. A proposal for a clinical classification of bony defects based on a systematic review of literature. Clin Oral Implants Res 25:946–956CrossRefGoogle Scholar
  3. 3.
    Chen ST, Darby I (2017) The relationship between buccal bone wall defects and dimensional alterations of the ridge following flapless tooth extraction in the anterior maxilla. Clin Oral Implants Res 28(8):931–937. CrossRefPubMedGoogle Scholar
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    Chrcanovic BR, Albrektsson T, Wennerberg A (2015) Dental implants inserted in fresh extraction sockets versus healed sites: a systematic review and meta-analysis. J Dent 43(1):16–41. CrossRefPubMedGoogle Scholar
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    Lee CT, Chiu TS, Chuang SK, Tarnow D, Stoupel J (2014) Alterations of the bone dimension following immediate implant placement into extraction socket: systematic review and meta-analysis. J Clin Periodontol 41(9):914–926. CrossRefPubMedGoogle Scholar
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    Chen ST, Buser D (2014) Esthetic outcomes following immediate and early implant placement in the anterior maxilla—a systematic review. Int J Oral Maxillofac Implants 29(Suppl):186–215CrossRefGoogle Scholar
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    Clementini M, Tiravia L, De Risi V, Vittorini Orgeas G, Mannocci A, de Sanctis M (2015) Dimensional changes after immediate implant placement with or without simultaneous regenerative procedures: a systematic review and meta-analysis. J Clin Periodontol 42(7):666–677. CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Periodontology and Dental ImplantologyMaurice and Gabriela Goldschleger School of Dental MedicineTel AvivIsrael
  2. 2.Department of Biomedical, Surgical and Dental Sciences, IRCCS Istituto Ortopedico Galeazzi, Dental ClinicUniversità degli Studi di MilanoMilanItaly

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